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Determining impacts and factors in ventilator-associated pneumonia bundle

Ana Natesia Rodrigues1, Luciana Vládia E Cavalhedo Fragoso1, Francisca de Melo Beserra1

  • 1Universidade Federal do Ceará, Hospital Universitário Walter Cantídio. Fortaleza-CE, Brasil.

Revista Brasileira De Enfermagem
|December 8, 2016
PubMed
Abstract

Insights

Ventilator-associated pneumonia (VAP) bundle implementation showed increased VAP incidence and high mortality. Staffing changes and supply shortages were key factors, highlighting the need for continuous team training to prevent VAP.

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Hospital Epidemiology

Background:

  • Ventilator-associated pneumonia (VAP) remains a significant challenge in intensive care units (ICUs).
  • Effective VAP bundles are crucial for reducing healthcare-associated infections.
  • Understanding factors influencing VAP bundle effectiveness is essential for improving patient outcomes.

Purpose of the Study:

  • To assess the determining impacts and factors associated with the implementation of a ventilator-associated pneumonia (VAP) bundle.
  • To analyze the relationship between VAP bundle adherence and infection rates.
  • To identify critical factors contributing to VAP incidence and patient mortality.

Main Methods:

  • A descriptive retrospective longitudinal study with a quantitative approach was conducted.
  • Data were collected from ICU patients with VAP between May 2014 and April 2015 at a public teaching hospital.
  • Microsoft Excel 2010 was used for data organization, followed by critical analysis of collected data and infection rates.

Main Results:

  • An increase in VAP incidence was observed following the implementation of the VAP bundle.
  • Gram-negative bacteria were the prevalent pathogens identified.
  • Mortality rates were 50% or higher, with professional turnover and supply shortages identified as determining factors.

Conclusions:

  • Continuous professional qualification and training are essential for enhancing adherence to VAP prevention protocols.
  • Addressing staffing and supply chain issues is critical for successful VAP bundle implementation.
  • Sustained efforts are required to effectively prevent VAP and reduce associated mortality.

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